Mary K Reynolds, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP3269632 Issued in FL

Practice address

1180 W Granada Blvd
Suite B
Ormond Beach, FL 32174-8165

Phone

(386) 677-2606

Fax

(386) 672-5341

NPI assigned

Jan 12, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ardent Family Care PAGroup PAC ID 7517933419, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
• Confident Care of Florida Corp Home health agency, Palm Coast, FL, CCN 108222
• Adventhealth Home Health Home health agency, Ormond Beach, FL, CCN 107408
• AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
• Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4
• Direct secure messaging: ardentfamilycare.maryreynolds@159757.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ardent Family Care PA

  • General Practice Physician
  • Palm Coast, FL
  • NPI 1225131477
  Medicare reassignment Care Compare group NPD
• David K Yoon MD PA

  • Family Medicine Physician
  • Ormond Beach, FL
  • NPI 1417144270
  NPD (past)
• Ormond Medical Arts Family Practice LLC

  • Family Medicine Physician
  • Ormond Beach, FL
  • NPI 1326254962
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Home Health and Hospice Inc

  • Home Health Agency
  • Ormond Beach, FL
  • NPI 1134161318
  Care Compare affiliation
• Adventhealth Palm Coast Parkway Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1861102345
  Care Compare affiliation
• Altercare LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1871529347
  Care Compare affiliation
• Confident Care of Florida Corp

  • Home Health Agency
  • Palm Coast, FL
  • NPI 1215999545
  Care Compare affiliation
• Memorial Hospital Flagler Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1679678486
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1194962241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 W GRANADA BLVD",
            "address_2": "SUITE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748165",
            "telephone_number": "386-677-2606",
            "fax_number": "386-672-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W GRANADA BLVD",
            "address_2": "SUITE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748165",
            "telephone_number": "386-677-2606",
            "fax_number": "386-672-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3269632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Reimer, MD
• Theresa Reis, COTA/L
• Rescare, Inc.
• Resilience Group
• Donna Lee Rethemeyer, LCSW
• Deanna Rhoades, LMHC
• Emily Rice
• Richard a. Jablonski, DO PA
• Richard Daniel Potts MD PLLC
• Arielle Richard, AUD

• Family Nurse Practitioner in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.